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Contact Information

GAIL I JOHNSON
5121 WASHINGTON ST.
BUTTE DES MORTS, WI54927-0346
 Phone: 920-540-4808
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for GAIL I JOHNSON · (Female)

NPI # 1013074129
Status Active
Credentials
Entity Individual
Enumeration date 01/02/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 3701-024
  • WI Medicaid 40294500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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